New York State Department of Health, Wadsworth Center
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SCO Family of Services - Deer Park
PFI: L946 Secondary Site ID: 0005 Certification Type: WAIVER Director: Yelitza Seoane, M.D. Phone: (631) 639-3600 Fax: Address: 60 E Industry Ct, Deer Park, NY 11729 County: Suffolk Country: United States Single or Primary Contact: Alison Critelli Contact Phone: (718) 674-7650 CLIA #: 33D0953401
The Bank of New York Mellon Health Center at Barclay Street
PFI: L952 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jane M Gold, M.D. Phone: (212) 815-4910 Fax: (212) 815-3352 Address: 101 Barclay St - 1E, New York, NY 10286 County: New York Country: United States Single or Primary Contact: Carolyn Irelan Contact Phone: (615) 927-1034 CLIA #: 33D0859505
PFI: L958 Secondary Site ID: 0001 Certification Type: WAIVER Director: Joel A. Lincoln, M.D. Phone: (914) 378-7603 Fax: (914) 378-7786 Address: 107 S Broadway, Yonkers, NY 10701 County: Westchester Country: United States Single or Primary Contact: Grace A Consiglio Contact Phone: (914) 378-7603 CLIA #: 33D0953344
PFI: L958 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joel A. Lincoln, M.D. Phone: (914) 375-3200 Fax: (914) 375-3354 Address: 81 South Broadway, Yonkers, NY 10701 County: Westchester Country: United States Single or Primary Contact: Grace A Consiglio Contact Phone: (914) 378-7603 CLIA #: 33D0953344
PFI: L963 Secondary Site ID: 0007 Certification Type: WAIVER Director: Fatai A. Gbadamosi, M.D. Phone: (716) 847-2441 Fax: (716) 847-2715 Address: 7 Community Dr - Suite A, Cheektowaga, NY 14225 County: Erie Country: United States Single or Primary Contact: Joelle Toal Contact Phone: (716) 847-2441 CLIA #: 33D0953352
PFI: L966 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lewis Anreder, M.D. Phone: (631) 288-0101 Fax: (631) 898-0576 Address: 78 Old Country Rd, Westhampton, NY 11977 County: Suffolk Country: United States Single or Primary Contact: Patrick Hooper Contact Phone: (631) 288-0101 CLIA #: 33D0899773
PFI: L968 Secondary Site ID: 0000 Certification Type: PPMP Director: Susan L. Manchester, N.P. Phone: (518) 388-6120 Fax: (518) 388-6147 Address: 807 Union Street, Schenectady, NY 12308 County: Schenectady Country: United States Single or Primary Contact: Jessica Burns Contact Phone: (518) 388-6120 CLIA #: 33D0870628
PFI: L971 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel R Kuhles, M.D. Phone: (518) 584-7460 Fax: (518) 583-1202 Address: 6012 County Farm Road, Ballston Spa, NY 12020 County: Saratoga Country: United States Single or Primary Contact: Mary Myers Contact Phone: (518) 584-7460 CLIA #: 33D0654487
PFI: L987 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kara C. Kort, M.D. Phone: (315) 329-2500 Fax: (315) 744-1944 Address: 4000 Medical Center Dr, Ste 203, Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Gretchen Toolan Contact Phone: (315) 329-2500 CLIA #: 33D0955535